Overview
- A CAMHS form dated July 23, 2024 recorded “poses risk to others: None,” a judgment the service’s clinical lead described as “very far” from acceptable six days before the attack.
- Consultant psychiatrist Dr Anthony Molyneux acknowledged he had not reviewed the full record and missed prior violence and knife incidents, calling the gap a “significant blind spot.”
- Former treating psychiatrist Dr Lakshmi Ramasubramanian sought case transfer after feeling unsafe due to the father’s behavior and accepted she should have reviewed the entire file.
- Lynsey Boggan said the first autism appointment came after a 45‑week wait and diagnosis after 77 weeks despite school emails warning of knife risk, with no recorded response or prioritization.
- The inquiry heard a FCAMHS assessment was not completed pending autism results and related letters were not uploaded, leaving services unaware of each other’s communications.